murphy 2011 tax return

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  • 8/2/2019 Murphy 2011 Tax Return

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    E 1 Departmentf the Treasury-InternalRevenueService (99) I ~ ( Q ) 110MB No. 154S-0074 I IRSUseOnly-Oo notwrite or stnple In IIIIsspal: U.S. ~ndividuallncome Tax ReturnFortheyearJan. t-oee. 31,2011, Of olherl ax yea r beginning , 2011, ending ,20 See separate instructions.Your first name and Initial Last name Your social security numbeChristopher S Murphy ... . . . . .I a Jointreturn. spouse's !irst name and initial Last name Spouse'ssocial security numbCatherine A Holahan - - - -ome address (number and street) Ifyou havea PObox. see Instructions I Apt no.. A Make sure the SSN(s)aband on line 6c are correCity, townor post office,state,andZI P code.Ifyou havea foreignaddress,alsocompletespacesbelow(seeinstructions) PresidentialElection CampaCheshire CT 06410 C h e c k h e r e i l y ou , Of y o u r s p o u s e If fi

    Foreign country name I Foreign province/county I Foreignpostalcode Jointly.anl$3 to 9 D to this fund.Chea boxbelow lll nolchangeoura x orefund. I 8 J Vou gjSpoFiling Status 12Check only one 3boxExemptions 6ab

    o Single 4 0 Head of household (withqualifying person).(Seelnstructlons )1 8 l Married fil ing jointJy (even if only one had income) the qualifying p erson is a child but not your dependent. e n t e r to Married filing separately. Enter spouse's SSN above child's name hare I>and full name here. 1 1 > 5 0Qualifying widow(er) with dependent child

    If more than fourdependents, seeinstructions andcheck here I>0

    c Dependents: (2) Dependent's (3) nepenuenrs (4 ) ./ If child underage17soclal s e C U r i t y number relationshipo y o u qualifyingor ch i ld lax credit(1) First name last name (seenstructions)

    Owen E Murphy - - . - - . Son 0Rider J Murphy . .-. . -.. Son Kl00~ Yourself. If someone can claim you as a dependent, do not check box 6a . Boxes checkedon Sa and Sb __jgj Spouse No, of childrenon S c : who!

    o lived with you did not live withyou due to divorceor separation[seeInstructions)D!pendenls on 6enot entered abovaAdd numbers on rlines above I> L

    Income 7 Wages, salaries, tips, etc ..Attach Form(s) W-2 7 220r125.Sa Taxable interest Attach Schedule B if required .: lab [. Sa 68.b Tax-exempt interest Do not include on line 8a [Attach Form(s) 9a Ordinary dividends. Attach Schedule B if required 9aW~2 here. Also .. [ 9b I jttach Forms b Qualified dividendsW~2Gand 10 Taxable refunds, credi ts, or offsets of state and local income taxes 10 160.1099~R if tax 11 Alimony received 11was withheld. 12 Business Income or (loss). Attach Schedule C or C-EZ 1213 Capital gaJnor (105s) Attach Schedule D if required If not required, check here ~ 0 13If you did not14 Other gains or (losses) Attach Form 4797. 14get a W-2, 15a IRA distributions. 115a ! I I b Taxable amountee instructions 15b16a Pensions and annuities . 16a . b Taxable amount 16b" 1 7 Rental real estate, royalties , partnerships, S corporations, trusts, etc. Attach Schedule E 17Enclose, but do 18 Farm income or (loss). Attach Schedule F 1Snot attach, any

    payment Also, 19 Unemployment compensation 19please use 20a Social security benefits 120a I I I b Taxable amount 20bForm 1040~V. 21 Other income. Ust type and amount 2122 Combine the amounts in the far right cDJun";~-f~~-li~~-;7th~;-ugh21:Thi;i;-y~~;t~t~~i-i~~~;;;;'~-- 22 220,353.23 Educator expenses 23Adjusted 24 Certain business expenses of reservists, performing artists, andGross lee-basis government offlcials. Attach Form 2106 or 2106-EZ 24Income 25 Heal th savings account deduction Attach Form 8BB9 25

    26 Moving expenses Attach Form 3903 262 7 Deductible part of self-employment tax Attach Schedule SE 2728 Self-employed SEP, SIMPLE, and quali fied plans 2829 Self-employed health insurance deduction 2930 Penalty on early withdrawal of savings 3031a Alimony paid b Recipient's SSN t> 3la32 IRA deduction 3233 Student loan interest deduction 3334 Tuition and fees Attach Form 8917. 3435 Domestic: production activities deduction, Attach Form 8903 3536 Add lines 23 through 35 3637 Subtract nne 36 from line 22. This is your adjusted gross income t> 37 220 353.-

    d Total number of exemptions claimed

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    Form 1040 (2011) Page- 38 220,353.Tax and 38 Amount from line 37 (adjusted gross income)Credits 3ge ~heCI( { o You were born before January 2,1947, o Blind } Total boxes L _ _o Spouse was bam before January 2, 1947, o Blind. checked ll> 39aStandard b If your spouse itemizes on a separate retum or you were a dual-status a lie n , c h e ck h e re s- 39bDDeduction ~ Itemized deductions (from Schedule A) or your standard deduction (see left margin) 40 36,779.for- 183,574. People who 41 Subtract line 40 from line 3B 41check any 42 e(emptions" Multiply $3,700 by the number on line 6d . 4 2 14,800.box on l ine39a or39b or 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- 43 168/774.who can be

    Tal( (seeinstructions). Check if any from: a 0 Form(s) 8614 b 0 Form 4972 c 0 962 election 44 35,326.claimed asa 44dependent, 45 Alternative minimum tax (see instructions) ..Attach Form 6251 45 1,207.seeinstructions, 40 Add lines 44 and 45 " Ii > 46 36,533.o All others: 47 Foreign tax credit. Attach Form 1116 if required " 47Single orMarried filing 48 Credit for child and dependent care expenses. Attach Form 2441 48separately, 49 Educat ion credits from Form 8863, line 23 49$5,800Married filing 50 Retirement savings contributions credit. Attach Form 8880 50jointly. or 51 Child tax credit (see instructions) , 51Qualifyln8 ..widow(e, 52 Residential energy credits ..Attach Form 5695 52$11,600Head of 63 Other credits from Form: a D 3800 b D 8801 cD 63---household, 54 Add lines 47 through 53 These are your total credits 54$6,500 55 Subtract l ine 54 from ! ina 46. If line 54 is more than line 46, enter - o - f;> 55 36,533.Other 55 Sel f-employment tax. Attach Schedule SE . 56Taxes 57 Unreported social security and Medicare tax from Form: a 04137 b 08919 5758 Addit ional tax on IRAs, other qual if ied ret irement plans, etc, Attach Form 5329 if required 58

    59a Household employment taxes from Schedule H 59a 2 209.b First-time homebuyer credit repayment. Attach Form 5405 if required 59b

    60 Other taxes, Enter code(s} from instructions "__"_________________________________________________ 6061 Add lines 55 through 60, This Is your total tax Ii > 61 38,742.

    Payments 62 Federal Income tax withheld from Forms W-2 and 1099 62 45,499.63 2011 estimated ta x payments an d amount applied from 2010 return 63

    If you have a ~ Earned income credit (SIC) 64aqualifying l64b I . fchild,attach b Nontaxable combat pa y electionSchedule E1C. 65 Additional child tax credit. Attach Form 8812 6566 American opportuni ty credit from Form 8863, l ine 14 6667 First-time homebuyer credit from Form 5405, line 10 . .. 6768 Amount paid with request for extension to file 6869 Excess social security and tlsr 1 RRTA tax withheld . 6970 Credit for federal tax on fuels, Attach Form 4136 . 7071 Credi ts from Form: a 0 2439 b 08839 c 08801 d 08885 7172 Add lines 62, 63, 64a, and 65 through 71. These are your total payments tt>- 72 45 499.Refund 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 6 757.74a Amount of line 73 you want refunded to you. If Form 86BB is attached, check here tt>-D 74a 6 757.

    Direct deposit? II> b Routing number I g t ! 1 I ! 1 1 ! ! Il> c T yp e: 0Checking o SavingsSee II> d Account number [ ! ! ! ! ! h I Instructions 75 Amount of l ine 73 you want applied to your 2012 estimated tax tt>- 75Amount 76 Amount you owe. Subtract line 72 from line 61 >. For detai ls on how to pay, see instructions Il> 76You Owe 77 Estimated tax oenalty (see instructions} , . . . . . . I 77 ilThird PartyDesignee

    Do you want to al low another person to discuss this return with the IRS (sea instructions)? 0Yes. Complete be low . EjNo

    SignlHlereDesignee'S Phone Personal Identificationname I> no. II > number!PIN) I i>

    Joint relum? S e einstructions.Keepa copy foryour records.

    Under penBll1es of parjury, I declareIhat I have examined this return and accompanying schedules and statements, and ' 0 the best ofmy IlIlowledge and bellef,they a re t ru e . c o rr e c t, and e e rn p le t e. D e c la ra tio n o f preparer (other than t ax p ay e r) I s based on all information of which p re p ar e r h a s a n y Imowledge ..Daytime phone number

    PaidPreparerUse Only

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    SCHEDULE A !te m ize d D e du ctooU 1lS OMS No. 1545-0074(Form 1040) ~11Department o f t h e T re a su ry Ii> Attach to Form 1040. [>See Instructions for Schedule A (Form 1040). AttachmentInternal Revenue S e r vi ce ( 99 ) Sequence No . 07Name(s) shown on Form 1040 Your social security numbChristopher S Murphy & Catherine A Holahan . .- . - ~Medical Caution. Do not include expenses reimbursed or paid by others"and 1 Medical and dental expenses (see instrictirS) 'jDental

    2 Enter amount from Form 1040, l ine 38 2Expenses 3 Multiply line 2 by 7 ..5% C075} 34 Subtract l ine 3 from line 1. If line 3 is more than line 1, enter -0- . . 4Taxes You 5 State and local (check only one box):Paid a o Income taxes, or } 5 11,072.

    b o General sales taxes6 Real estate taxes (see instructions) 6 7,296.7 Personal property taxes .. 7 188.a Other taxes ..List type and amount .....__________________________________a_ _ _ _ _ _ _ _ _ . . . . . . . . " ' . .. . . _ . . . . . . . _ _ _ _ _ _ _ _ _ _ O N ,. . , _ . , . , . _ . . . . . . . _ _ _ _ _ _ _ . . . . _ . . . . . . . . . . M . . . . . . . . . _ _ _ _ _ _ ~ _ . . , . .. _ _ . . . . . . _ _ _ _ _ _ _ _ ~ . . . . . . . . . . . . . . . . . . - - - 18,5569 Add lines 5 through 8 . - - 9

    Interest 10 Home mortgage interest and points reported to you on Form 1098 10 18,080_You Paid 11 Home mortgage interest not reported to you on Form 1098"If paidNote.

    to the person from whom you bought the home, see instructionsYour mortgage and show that person's name, identifying no" and address ~interest . .- - - - - - - - - - - ~ - -. . . . . . . . . . . . . . . . - - - - - - - - - . . . . . . ""' . . . . . . . . - .. . ---------'"- . . . . . . . .,. . . . . . . . . . . - - - - - - - - .. .- . . . . . . . .,_ .. . " ' _ - - - - - - - - _ . . . . _ . . . .deduction may 11- - - - - - - - _ . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - _ . . . . . . . . . . . . . . . . . . . . - - - - - - _ . . . . . . _ _ . . _ . . . . . . . . . . . - - - - - - - - - - . . . . . - . . . . . "' . . . . .~--------~-. . . . . . . . .be limited (see 12 Points not reported to you on Form 1098, See instructions forinstructions) special rules" - 12 143.13 Mortgage insurance premiums (see instructions) " - 1314 Investment interest Attach Form 4952 if required" (Seelnstructlons.] 14

    15 Add lines 10 through 14 . . . 15 18,223Gifts to 16 Gifts by cash or check If you made any gift of $250 or more,Charity see instructions 16lfyou madea 17 Other than by cash or check. If any gift of $250 or more, seegift and got a instructions" You must attach Form 8283 if over $500 17benefitfor it, 1a Carryover from prior year - .. 18see instructions" 19 Add lines 16 through 18 . 19-C as ua lty an dT h e ft L os se s 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) . 20J ob E xp en se s 21 Unreimbursed employee expenses-job travel, union dues,a nd Ce rt ain job education, etc Attach Form 2106 or 2106-EZ if required,Miscel laneous (See instructions.] .....______________________________________________________21Deduct ions 22 Tax preparation fees 22 60.

    23 Other expenses-investment, safe deposit box, etc ..List typeand amount ~ _ .. .. _ .. . . w-.., ,_ .. ... .... ... .... ... .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , .,_ ... ... .... ... .... ... .... ... .... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ... M 23______________ ......_..............................._____________ ~_ .._.................._ ..........__________ ~___ ......_.............w"'_ ...24 Add lines 21 through 23,. .. .. .. .. .. ,. - .. 24 60.25 Enter amount from Form 1040, line 38 1251 220,353.

    26 Multiply line 25 by 2% (.02) .. 26 4,407.27 Subtract l ine 26 from line 24. If line 26 is more than line 24, enter -0- 27Other 28 Other-from list in instructions. List type and amount I> -Miscel laneous _ . .. .. .. .. w _ _ . .. .. .. .. .. .. .. _ _ __ __ _ __ __ _ __ __ _ __ __ __ _ __ __

    Deduct ions __ ~~ . ______ . _wWMop_ . ____________ . ___ '""_ . _MM . ____________________ . __ . w . _ " . _ . ____________________ . - _'- ___ . w" 28Total 29 Add the amounts in the far right column for lines 4 through 280 Also, enter this amountItemized on Form 1040, line 40 - 29 36,779Deductions 30 If you elect to itemize deductions even though they are less than your standarddeduction, check here . . . 1 > 0For Paperwork Reduction Act Notice, see Form 1040 instructions. BAA R EV 1 21 06 11 1 T IO Schedule A (Form 1040) 2

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    Form 6251 Alternative Minimum Tax-~ndividlUla~s OMB No 1545-0074~@11i> See separate Instructions"Departmentof the Treasury AttachmentInternalRevenueService(99) Ii> Attach to Form 1040 or Form 104{1NR. Sequence No. 32Name(s)shown on Form 1040 or Form 1040NR lour social security number -Christopher S Murphy & Catherine A Holahan - - - - -5: :F.1iua Alternative Minimum Taxable Income (Seeinstructions fo r how to complete each line.)1 It filing Schedule A (Form 1040), enter the amount from Form 1040, line 41 , and go to line 2 ..Otherwise, enter the

    amount from Form 1040, line 38, and go to line 7. (If less than zero, enter as a negative amount) '1 183,574.2 Medical and dental Enter the smaller of Schedule A (Form 1040), line 4, or 2 ..5% (.02S) of Form 1040, line 38. If

    zero or less, enter -0- 2 O.3 Taxes from Schedule A (Form 1040), line 9 3 18,556.4 Enter lhe home mortgage interest adjustment, i f any, from line 6 of the worksheet ln the instructions for this line 45 Miscellaneous deductions from Schedule A (Form 1040), line 27 5 O.6 Skip this l ine. It is reserved for future use . .. 67 Tax refund from Form 1040, line 10 or line 21 7 ( 160.8 Investment interest expense (difference between regular tax and AMl) 89 Depletion (difference between regular tax and AMl) 910 Net operating loss deduction from Form 1040, line 21 Enter as a positive amount 1011 Altemative tax net operating loss deduction 11 (12 Interest from spec ified private activity bonds exempt from the regular tax 1213 Qualified small business stock {7% of gain excluded under section 1202} 1314 Exercise of incentive stock options (excess of AMT income over regular tax income) .. 1415 Estates and trusts (amount from Schedule K-1 (Form 1041), box 12, code A) 1516 Electing large partnerships (amount from Schedule K-1 (Form 1065-B), box 6) 1617 Disposition of property (difference between AMT and regular tax gain or loss) 1718 Depreciation on assets placed In service after 1986 (di fference between regular tax and AMl) 1819 Pass ive activities (difference between AMT and regular tax Income or loss) 1920 Loss limitations (difference between AMT and regular tax income or loss) 2021 Circulation costs (di fference between regular tax and AMl) 2122 Long-term contracts (difference between AMT and regular tax income) . 2223 Mining costs (difference between regular tax and AMl) 2324 Research and experimental costs (di fference between regular tax and AMl) 2425 Income from certain Installment sales before January 1, 1987. 25 (26 Intangible drill ing costs preference 2627 Other adjustments, including income-based related adjustments 2728 Alternative minimum taxable income" Combine lines 1 through 27, (If married filing separately and line 28 is

    more than $223,900, see instructlons.) 28 201,970.lI'I:F.1iillli Alternative Minimum Tax (AMT)29 Exemption. (If you were under age 24 at the end of 2011, see instructions)

    IF your filing status is AND line 28 is not over .... THEN enter on line 29 . " ,Single or head of household $112,SOO $48,450 }arrIed fil ing jointly or qualifying widow(er) 150,000 74,450Married filing separately. 75,000 37,225 29 61,457.If line 28 Is over the amount shown above for your fillng status, see instructions

    30 Subtract line 29 from line 28 .. If more than zero, go to line 31 . . If zero or less, enter -0- here and on lines 31,33,and 35, and go to line 34 30 140,513.

    31 ~ If you are filing Form 2555 or 2555-EZ, see instructions for the amount to enter.

    }~ If you reported capital gain distributions directly on Fonn 1040, line 13 ; you reported qualified dividendson Form 1040, line 9b; or you had a gain on both Hnes1 5 and 1 6 of Schedule D (Form 1040) (as refigured 31 36,533.for the A MT, if necessary), complete Part III on the back and enter the amount from line 54 here.. All others: If line 30 is $175,000or less ($87,500or less if married filing separately),multiply line30 by 26 % ( .26 ).Otherwise,multiply line3D b y 2 8% (..2 8) and 5ubtract$3,500 [$1t750if married filingseparately)f r o m the result

    32 Alternative minimum tax foreign tax credit (see instructions) 3233 Tentative minimum tax. Subtract line 32 from line 31 33 36,533.34 Tax from Form 1040, line 44 (minus any tax from Form 4972 and any foreign tax credit from Form 1040,

    line 47) If you used Schedule J to figure your tax, the amount from line 44 of Form 1040 must be refiguredwithout using Schedule J (see Instructions) 34 35,326.

    35 AMT. Subtract line 34 from line 33. If zero or less, enter -0-. Enter here and on Form 1040, line 45 . 35 1,207.For Paperwork Reduction Act Notice, see your tax return instructions. BA A REV 12101/11 TIO Form 6251 (2

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    Form6251(2011) PageI Im lU Tax Computation Using Maximum Capital Gains RatesComplete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions.36 Enter the amount from Form 6251, line 30 If you are f iling Form 2555 or 2555-EZ, enter the amount from line 3

    of the worksheet in the instructions for this line . r - - : :3.:;6+37 Enter the amount from line 6 of the Qualified Dividends and Capital Gain Tax

    Worksheet in the Instruct ions for Form 1040, line 44, or the amount from line 13 ofthe Schedule D Tax Worksheet In the instructions for Schedule D (Form 1040),whichever applies (as refigured for the AMT, if necessary) (see instructions) .. If youare f il ing Form 2555 or 2555-EZ. see instructions for the amount to enter ~3:.:..7+ -l

    38 Enter the amount from Schedule D (Form 1040), line 19 (as refigured for the AMT, ifnecessary) (see Instructions), If you are filing Form 2555 or 2555-EZ, see

    39 If you did not complete a Schedule D Tax Worksheet for the regular tax or theAMT' enter the amount from line 37..Otherwise, add l ines 37 and 3B, and enterthe smaller of that result or the amount from line 10 of the Schedule D TaxWorksheet (as refigUred for the AMT, if necessary). If you are filing Form 2555 or2555-EZ, see inst ructions for the amount to enter L-.::3=9__L -l

    40 Enter the smaller of line 36 or l ine 39 ..41 Subtract l ine 40 from line 36 1---'4...:;.1+42 If Ilne 41 is $175,000 or less ($87,500 or less if married filing separately), multiply line 41 by 26% (.26), Otherwise,

    multiply line 41 by 2B% (..2B)and subtract $3,500 ($1,750 i f married f il ing separately) from the result I I > - j----:42~--- -_43 Enter:

    e $69,000 if married filing jointly or qual ifying widow(er), }e $34,500 if single or married f il ing separately, or" $46,250 if head of household.

    instruct ions for the amount to enter

    44 Enter the amount from fine 7 of the Qualified Dividends and Capital Gain TaxWorksheet In the Instruct ions for Form 1040, line 44, or the amount from line 14 ofthe Schedule D Tax Worksheet in the Instructions for Schedule D (Form 1040),whichever applies (as figured for the regular tax). If you did not complete ei therworksheet for the regular tax, enter 0

    45 Subtract line 44 from line 43. I f zero or less, enter -0-46 Enter the smaller of line 36 or l ine 3747 Enter the smaller of line 45 or l ine 4648 Subtract line 47 from line 46

    49 Multiply line 48 by 15% (15)

    38

    43

    4445

    4647

    48

    I> 49If line 38 Is zero or blank, skip Hnes 50 and 51 and go to line 52. Otherwise, go to line 50.

    50 Subtract line 46 from line 40 l 50 I~ - - ~ - - - - - - - - - - - - ~51 Multiply line 50 by 25% (,25) ~ 51

    ~ ~ - - - - - - - - - - - -

    52 Add lines 42, 49, and 5153 If line 36 Is $175,000 or less ($B7,500 or less if married f il ing separately), mult iply l ine 36 by 26% (..26) Otherwise,

    multiply line 36 by 28% (.28)and subtract $3,500 ($1,750 if married f il ing separately) from the result54 Enter the smaller of line 52 or line 53 here and on line 31 If you are filing Form 2555 or 2555-EZ, do not enter

    this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31

    40

    52

    53

    54REV 12101111lTO Form6251 (2

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    SCHEDULE H(Form 1040) Household Employment Taxes(For Social Securi ty, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)~ Attach to Form 1040, 1040NR, 1040SS, or 1041.I> See separate instructions. A1tachmentSeauence No. ~

    OMS No 1545-1971

    Department of lhe TreasuryIntemalRevenue Service (99)Name of employer

    Christopher S Murphy

    Social security number"'-II1II-Employer Identification number._I 11II161.I.I.

    A Did you pay anyone household employee cash wages of $1,700 or more in 2011? (If any household employee was youspouse, your child under age 21, your parent, or anyone under age 18, see the l ine A instructions before you answer thiquestion..(g ] Yes. Skip lines Band C and go to line 1..D No. Go to line B..

    B Did you withhold federal income tax during 2011 for any household employee?D Yes. Skip lineC and go to l ine 5.D No. Go to lineC ..

    C Did you pay total cash wages of $1,000 or more in any calendar quarter of 2010 or 2011 to all household employees?(Do not count cash wages paid in 2010 or 2011 to your spouse, your child under age 21, or your parent)D No. Stop. Do not file this schedule.D Yes. Skip lines 1-7 and go to line 8. (Calendar year taxpayers having no household employees in 2011 do not haveto complete this form for 2011.)

    I i m i I J I Social Security, Medicare, and Federal Income Taxes1 Total cashwaes subject to social security taxes I 1 I 16,188.2 Social security taxes. Multiply line 1 by 10.4% ('.104) 2 1,684.3 Total cash wages subject to Medicare taxes I 3 I 16,188.4 Medicare taxes..Multiply line 3 by 2..9% (.029) 4 469.5 Federal income tax withheld, if any 56 Total social security, Medicare, and federal income taxes. Add lines 2, 4, and 5 6 2,153.7 Did you pay total cash wages of $1,000 or more in any calendar quarter of 2010 or 2011 to al l household employees?(Do not count cash wages paid in 2010 or 20'11to your spouse, your child under age 21, oryour parent..)D No. Stop, Include the amount from line 6 above on Form 1040, line 59a..If you are not required to file Form 1040, Seetheline 7 instructions..I : S l Yes. Goto line 8.

    For Privacy Act and Paperwork Reduction Act Notice, see the instructions. BAA Schedule H (Fonn 1040) 20R E V 0 1 10 3 11 2 no

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    Schedule H (Form 1040) 2011 Pagel!'l:F.liii ll lf ll Federal Unemployment (FUTA) Tax Yes N8 Did you pay unemployment contributions to only one state? (If you paid contributions to a credit reductionstate, see instructions and check "No") 8 X9 Did you pay all state unemployment contributions for 2011 by April 17, 2012? Fiscal year filers see instructions 9 X10 Were all wages that are taxable for FUTA tax also taxable for your state's unemployment tax? 10Next; Ifyou checked the "Yes" box on all the lines above, complete Section A ..

    Ifyou checked the "No" box on any of the lines above, skip Section A and complete Section B.Section A11 Nameof the state where you paid unemployment contributions ~

    12 Contributions paid to your state unemployment fund ~t.._:.1=2_j~L- -l13 Total cash wages subject to FUTAtax ~ r1.;;.3+ _14 FUTA tax. Multiply the portion of the wages on line 13 paid before July 1 by ..008..Multiply theportion of the wages on line 13 paid after June 30 by ..006..Enter the sum of those two amounts online 14, skip Section B, and go to line 23 . . . . , . . . . . . .. 14Section B15 Complete all columns below that apply (if you needmore space, see instructions:

    ta) (b) (c) (d) te) (f) (9) (h )Name 01state Taxable wages (as Stateexperience rate Stale Multiply col (b ) Multiply cot. (b) Subtract col (I) Contributiodefined In stale act) period experience by 054 by co! (d) from co! (e) If paid to starale zero or less. unemploymeFrom To enter -0-. fund

    CT 17,103. 01/01/11 12/31/11 3.70 924. 633. 291. 555

    16 Totals ' 1 1 7 1 1 1 6 291. 555'1 7 Add columns (g) and (h)of line 16 846.18 Total cash wages subject to FUTAtax (seethe line 13 instructions) 18 7,00019 Multiply the portion of the wages on line 18paid before July 1 by 6.2% (..062)..Multiply the portion ofthe wages on line 18 paid after June 30 by 6.0% (.. B O ) . Enterthe sum of those amounts on line 19 19 43420 MlJltiplyline 18by5A% (..054) .' ...... ' ....... ~ .. 1 2 0 1 378.2 1 Enterthe smaller of line '1 7 or line 20 ,.(Employers in a credit reduction state must use the worksheet and check here) 0 21 37822 FUr A tax. Subtract line 21 from line 19. Enterthe result here and 00 to line 23 . 22 56

    lI:F.Tiillllll Total Household Employment Taxes23 Enter the amount from line 6. If you checked the "Yes" box on line C of page 1, enter -0- 23 2,1532 4 Add line 14 (or line 22) and line 23 .. 2 4 2,20925 Are you required to file Form 1040?

    g] Yes. Stop. Include the amount from line 24 above on Form 1040, line 59a. Do not complete Part IVbelow..o No. You may have to complete Part IV. See instructions for details.Address and Signature- Complete this part only if required. See the line 25 instructions.

    Address (number and strest) or PObox if maills not delivered to street address Apt. room. or sutte no

    City, town or post office, state>and ZIPcodeUncler penalties of pe~ury, I declare that I have examined this schedule, including accompanying statements. and to the best of my Imowleclge and belief, it 1 5correct. and comp!ete No part of any payment made to a state unemployment fund clalmecl as a credit was. or Is to be, deducted from the payments to employDeclaration of preparer (other than taxpayer) Is based on a1l1nlorrnalionof which preparer hasany knowledge

    ~ Employer's signature ~ DatePaid Print/Type preparer's name Ipreparer's slgnalUra 1 Date 1Check 0 If 1 PTINPreparer r- = = ~ ~ ~ ~ ~ = = _------------------------L------.---~I~s~e~lf~~m~p~!o~y~e~dL_IUseOnIYrR~lr~m~'s~n~a~m~e_~~_ ~ S = E = L ~ F ~ P ~ R = E ~ P ~ A R ~ = E = D - , _ _ ~I~R~lm~'s~E~IN~~~--------________ ~~R~rm~'s~a~d~d~re~ss~~ .~ LtP~h~o~ne~no~ ~

    Schedule H (Fonn 1040)

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    E lec tro nic F ilin g In stru ctio ns fo r yo ur 2011 C on ne cticu t T ax R etu rnImportant: Your taxes are not finished until all required steps are completed.

    C S Murphy & C A Hola ha ncIa. ........CHESHIRE, CT 064 10BalanceDuelRefund

    Your con n ecticut sta te ta x return (Form CT-I04 0) shows a ba la n ce d ueof $35L 00"Your return shows you ha ve elected to pa y your ba la n ce d ue of $351"00by Direct Debit usin g the followin g in form a tion ;- Amoun t withd ra wn : $351.00- Accoun t Number:- Routin g Tra nsit Number:- Da te of Withd ra wa l: 04/17/2012

    To in quire a bout the sta tus of your Direct Debit ca ll theCon n ecticut Depa rtmen t of Reven ue d irectly a t 800-652 -9094 ..

    NoSignatureDocumentN e e d e d

    No sign a ture form is required sin ce you sign ed your returnelectronically.

    What YouN e e d t oK e e p

    Your Electron ic Filin g In struction s (this form)Prin ted copy of your sta te a n d fe d era l retur n s

    2011ConnecticutT a xReturnSummary

    Ta xa ble In comeTota l Ta xT ot al P ay me n ts /C re d it sPa ymen t Due

    $$$$

    215,393.0011,423.0011,072.0035LOO

    Page 1 of 1

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    ai u ;'C.E('(I "-i i i . !_0)00)CO0.....o 0'N~~.c"O. . l . : : t:(J IIIIII II)J::_(J 0c.C=0(.)0

    1101115556DDDD 2 0 DD

    \IForm CT~1040 ~2011, Page 1 of 4Connecticut Resident Income Tax Return

    Other taxable year. beginning: 2011 and ending:N S Y FJFC N FJC FSFC N FSC HH N QWN N.. -.- ... .,..-a-CHRISTOPHER S MURPHY N DecCATHERINE A HOLAHAN N Dec

    N No forms N CT-2210N CT-B379 N CT-104oCRC

    CHESHIRE CT 06410 Q

    Federal adjusted gross income (from federal Formt04o, Line 37; Form 104oA, Line 21; orForm 1040EZ, Line 4)

    2 Additions to federal adjusted gross income (from Schedule 1, Line 39)3 Add Line 1 and Line 24 Subtractions from federal adjusted gross income (from Schedule 1, Line 50)5 Connecticut adjusted gross income: Line 4 subtracted from Line 36 Income tax7 Credit for income taxes paid to qualifying jurisdictions (from Schedule 2, Une 59)8. Line 7 subtracted from Line 6. If Line 7 is greater than Line 6, "0" is entered9 Connect icut al ternative minimum tax (from Form CT-6251)10 Add Line 8 and Line 9

    1 .2345.678910

    220353o220353

    496021539311423o11423

    o11423o11423o11423o11423

    11 Credit for property taxes paid on your primary residence, motor veh l c l e , or both (from Schedule 3. Line 68 ) 1112. Line 11 subtracted from Line 1 0 . If less than zero, "0" is entered 1213. Total allowable credits (from Schedule CT-IT Credit, Part 1, Unel1) 13'1 4 Connectlcutlncome tax: Une 13 subtracted from Line 12. If less than zero, "0 " is entered15..Individual use tax (from Schedule 4, Line 69) If no tax is due, "on is entered16 Total tax: Add Line 14 and Line 15 I 1415.16.

    1101115556 1101115556R E V 1 2 18 1 20 1 1 no

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    1101215554 Form CT~1040, Page 2 of 4 I17 Amount from Li ne 16 17 0 11423

    W-2, W-2G, and 1099 InformationCol A - Employer or Payer's Fed. ID # Col. 8 - CT Wages, Tips. etc Col, C - CT Income Tax Withheld

    lBatBb18c18d18e1 8 r1 8 g

    - - G 157500- - G 62625a 0ill 0G 0G 0G 0

    79833089ooooo18h Addit ional Connect icut withholding (from Supplemental Schedule CT- l040WH, Line 3)18h 0

    18 1107219. 020 020a 021 1107222. 0!ill 024. 0

    ~ 0

    18 Total Connecticut income tax withheld: Amounts in Column C19..All 2011 estimated tax payments and any overpayments applied from a prior year20 Payments made with Form CT-l040 EXT20a Eamed income tax credit (from Schedule CT-EITC, Line 16)21..Total payments: Add Lines 18, 19.20, and 2082 2 Overpayment: If Line 21 is more than Line 17, Line!7 subtracted from Line 2123 Amount of Line 22 you want applied to your 2012 estimated tax

    24 Total contributions of refund to designated chari ties (from Schedule 5, Line 70)25 Refund: Lines 2 3 and 24 subtracted from Line 22

    If you have not elected to direct deposit, the refund may be issued by debit card or check.25a A c d . type Ck Sv. 25b Rout # 25c Acct #25d. Refund going to a bank account outside the US26. Tax due: If Line 17 is more than Line 21, Line 21 subtracted from Line 1727. If late: Penal ty entered Line 26 multiplied byl 0 % ( 1 0 ).2B. I f late: Interest entered

    Line 26 multiplied by number of months or fraction of a month late. then by 1% (01)29 Interest on underpayment of estimated tax (from Fonm CT-221O)30..Total amount due: Add Lines 26 through 29

    25d N2627

    351o

    2829,[E]

    oo351

    Daytime telephone number

    Dateiii o

    F irm' s name" add ress . and Z IP code FEINSELF-PREPARED IThird Party Designee. Complete the following to authorize DRS to contact another person about this return

    Designees name Telephone number Personal iden@catioh number (P!N)

    II 1101215554 II101215554RE V t 2 1 8 1 20 1 1 no

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    " 1101315552 Form CT-1040, Page 3 of 4Schedule 1 - Modif icat ions to Federal Adjusted Gross Income

    31 Interest on state and local government obl igat ions other than Connect icut32 Mutual fund exempt-interest dividends from non-Connecticut state or municipal government

    obligations33 Reserved for future use34 Taxable amount of lump-sum distributions from qualified plans not Included in federal adjusted

    gross income35 Beneficiary's share of Connecticut fiduciary adjustment: Entered only if greater than zero36 Loss on sale of Connecticut state and local government bonds37~ Domestic production actlvhias (from federal Form 1040, Une 35)

    38 Other - specify 039 Total additions: Add lines 31 through 38..40 Interest on U S government obligations41 Exempt dividends from certain qualifying mutual funds derived from U S government obligations42. Social Securi ty benefi t adjustment (from Social Securi ty Benef it Adjustment Worksheet)43. Refunds of state and local income taxes44. Tier 1 and Tier 2 railroad retirement benefits and supplemental annuities45 50% of mil itary ret irement pay46 Benef ic iary's share of Connecticut f iduciary adjustment: Entered only if less than zero47 Gain on sale of Connecticut state and local govemment bonds48. CHET contributions Acct. #:49 Other - specify

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    1101415550 Form CT-1040, Page 4 of 4 (>Schedule 3 Property Tax Credit

    Qualifying Property Primary Residence Auto 1

    CHESHIRE G CHESHIREIII 04 JEEP L10122011 (> 07112011e

    7296 61 188

    Name of Connecticut Tax Town or District (;)Description of Property eDate(s) Paid I)

    Amount Paid 60..

    63 Total property tax paid: Add Lines 60, 61, and 62 I64. Maximum property tax credit allowed

    65 Lesser of Line 63 or Line 64

    66 Property tax credit l imitat ion decimal amount: If zero, the amount from Line 65 is entered on Line 68.

    67 Line 65 multiplied by Une 66

    68 Line 67 subtracted from Line 65

    Schedule 4 -Indlvldual Use Tax

    69a Use tax at 1% (from Connect icut Individual Use Tax Worksheet, Section A Column 7)69b Use tax at 635% (from Connecticut Individual Use Tax Worl,sheet, Section S, Column 7)

    69c Use tax at 7% (from Connecticut Individual Use Tax Worl(sheet, Section C, Column 7)

    69d Use tax at 6% (from Connecticut Individual Use Tax Worksheet, Section D, Column 7)69 Individual use tax: Add Lines 69a, 69b, 69c, and 69d.

    Schedule 5 Contributions to Designated Charities70a AR

    70b OT70c E 8 1 W

    70d SCR

    70e SNS70f MFRF

    70 Total Contributions: Add Lines 70a through 7m

    1101415550 1101415550R E V 1 21 81 20 11 I TO

    Auto 2(;)

    (I(II)62.

    63 748464 (I 30065 (I 30066 0 1.0067 0 30068 0

    69a o6gb o69c o69d o69 '" o

    70a o70b o70c. o70d o70e. o7 0 r o70 (> o

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    (Rev 01/12) You must attach this form to the back of Form CT~1040 or Form CT-1040NR/PY Complete in blue or black ink only

    Form CT",6251Connecticut Alternative Minimum Tax Return ~Individuals 2011epartment of Revenue ServicesState of ConnecticutYour f irst name and middle ini tia l Last name Your Social Security NumberCHRISTOPHER S MURPHY ~.. ;If a joint return. spouse's firs! name and middle initial Last name Spouse's Socia! Security Nu.mberCATHERINE A HOLAHAN : . . . ;Part I - Read the instructions before you complete this form.1 Federal alternative minimum taxable income: See instructions. l a o > 1 201,970 02 Additions to federal alternative minimum taxable income: See instructions ~ 2 03 Add Une 1 and Line 2 3. 201,970 04. Subtractions from federal alternative minimum taxable income: See instructions ~ 4. 4,800 05 Adjusted federal alternative minimum taxable income: Subtract Line 4 from Line 3If f il ing separately and Line 5 is more than $223,900, see instr~ctions ~ 5 197,170 06 Enter $74,450 if f il ing jointly or qualifying widow(er); $48,450 if single or head of household;or $37,225 if fil ing separately 6 74,450 07 Enter $150,000 if f il ing jointly or qualifying widow(er); $112,500 if single or head of household;or $75,000 if fil ing separately 7 150,000 0

    8 Subtract Line 7 from Line 5. If zero or less, enter "0" here and on Line 9 8. 47,170 09 Multiply Line 8 by 25% (.25) 9 11,793 0

    '1 0 Exemption: Subtract Line 9 from line 6. If zero or less, enter "0."If you were under age 24 at the end of 2011, see instructions ! l > - I D . 62,657 011 Subtract Line 10 from Line 5 If more than zero, go to Line 12If zero or less, enter "0" here and on Line 23 and skip Lines 12 through 22. 11. 134,513 012. If Lines 2 and 4 above are zero, enter the amount from federal Form 6251, Line 31, here

    If you entered an amount on Lines 2 or 4 above and:o You filed federal Form 2555 or Form 2555-EZ, see the Line 12 instructions for the amount to entera You completed Part III of federal Form 6251, complete Part II of this form and enter the amountfrom line 42 here.

    All others: If line 11 is $175,000 or less ($87,500 or less if filing separately), multiplyLine 11 by 26% (.26). Otherwise, multiply Line 11 by 28% (.28) and subtract $3,500($1,750 if f il ing separately) from the result ! l > - 12. 34,973 013 Alternative minimum tax foreign tax credit from federal Form 6251, Line 32 ~ 13 014. Adjusted federal tentative minimum tax: Subtract Une 13 from Line 12. 14 34,973 015 Multiply Line 14 by 19% (.19) 1 5 6,645 016 Multiply Line 5 by 5 5% ( 055) 16 10,844 017 Connecticut minimum tax: Enter the lesser of Line 15 or Line '16 17 6,645 018 Apportionment factor: Residents, enter 10000;nonresidents and part-year residents, see instructions ~ 18 1.000019. Apportioned Connecticut minimum tax: Multiply Line 17 by Line 18.. 19 6,645 020 Connecticut income tax from Form CT-l040, Line 6, or Form CT-1040NRJPY, Line 10 l l > - 20 11,423 021 Net Connecticut minimum tax: Subtract Line 20 from Line 19. If zero or less, enter "0 " 21 0 022 Credit for alternative minimum tax paid to qualifying jurisdictions: Residents and part-yearresidents only from Schedule A, Line 51 I> - 22. 023 Subtract Line 22 from Line 21Enter the amount here and on Form CT-l040, line 9, or Form CT-l040NRJPY, Line 13 l l > - 23. 0 0

    R EV 1 13 01 12 T

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    C S Murphy & C A HolahanPart II Complete Part II of this form only if you are required to complete Pat III of federal Form 625124 Enter the amount from Une11 Ifyou are fil ing federal Form 2555 or Form 2555-EZ, enter the amountfrom Line 3 of the Connecticut Foreign Earned Income Tax Worksheet on Page 4 I> 24. 025.. Enter the amount from federal Form 6251, Line 47 See instructions .. I! > 25.. 0026. Enter the amount from federal Form 6251, Line 38. See instructions .. 26. 0027. Enter the amount from federal Form 6251, Line 39..See instructions. ~ 27 0028 Enter the smaller of Line 24 or Line 27 28 029. Subtract Line 28 from line 24 29 030 If Line 29 is $175,000 or less ($87,500 or less if fil ing separate!y), multiply Line 29 by 26% (26).Otherwise. multiply Line 29 by 28% (..28) and subtract $3,500 ($1,750 if filing separately) from the result 30. 031 Enter:

    p $69.000, if filing Jointly or qualifying widow(er);D $34,500, if single or filing separately; or. . $46,250, if head of household. 31. 00

    32 Enter the amount from federal Form 6251. Line 44 See instructions tI> 32. 0033.. Subtract Line 32 from Line 31 If zero or less, enter "0 " 33.. 0034 Enter the smaller of Line 24 or Line 25. 34 0035. Enter the smaller of Line 33 or Line 34 35. 0036. Subtract Line 35 from Line 34. 36 0037 Multiply Line 36 by 15% (.15).If Line 26 is zero or blank, skip Lines 38 and 39 and go to Line 40. Otherwise, go to Line 38. 37.. 038 Subtract Line 34 from Line 28 38.. 0039. Multiply Line 38 by 25% (.25) 39 040. Add Lines 30, 37 and 39 40. 041 If Line 24 is $175,000 or less ($87,500 or less i f fil ing separately), multiply Line 24 by 26% (..26).Otherwise, multiply Line 24 by 28% (..28)and subtract $3,500 ($1,750 if fil ing separately) from the result 41.. 042. Enter the smaller of Line 40 or Line 41 here and on Line 12 if you are filing federal Form 2555 or Form 2555-EZ,do not enter this amount on Line 12 Enter it on Line 4 of the Connecticut Foreign Earned Income Worksheeton Page 4 of the instructions I> 42. 0

    1555 REV 1130/12TIO

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    a cmp oye. S ::; :: ; 1 Wages. tips. DIllercompensauor 2 F e d e ro l I n c om e Ia wi th ho l dI ~-==:~!!~~~~~6~2~6~2~5~.~2~0~~~~~9~4~0~6~.4~O~~ i J ::;0013 seourllY wages I"coca S"CWllIY ax WI","91062625.20 2630.24

    I u v e m c a r e !aK w m m e l a908.04

    D e rn p o ye r m e n u uc a uo n n u rn n e r : ;)W H lO Ic ;a re w ag e s a na u ps62625.20

    c Emp l oye r s n a m e . a d e l l e s s .nd lIP COdeCONNECTICUT LEGAL SERVICES62 W ASHI NGT ON S TR EE TMIDDLETOWN CT 06457-2828

    e E m p lO Y e e' s f i n : ; [ n am a an d in l ! !al~:r.fj:,?!lJ:.~ , .CHESHIRE CTf Employ" ,, '. andre ss and Zip code

    : L a st n ame Suli.;HOLAIiAN",, .~ ~ u~ r~~~-" . .~",~~ ~"~.""."_~~qwp~".,...~~~"~,~.,,,~, I~~~,"~~~

    06410

    n A l l oca ted tipsControl number 7 Social s e c u ~ t ylips~ " - - - - - - - - - - - - - - " 1 n o n D ~ ep ~ e ~ n d ~ e ~ m ~ ~ ~ l ~ e ~ o o ~ n ~a ~ f $ ~ - - - h 1 . 1 " N ~ o n ~ q ~ U a ~ t i f i < - e d ~~ ~ 3 n ~ s - -

    4999,92

    flli.....,,.:.,,,..,,,,,."w.,, ,,'l~'".": '"M '" ."" . " ." . . ,, . ,. "" ' . .. .: i a r . . . . ' . . . . . .. . . . " " " ' " . ." ,. . . " . . . ." . . . . . . ..'w... "...,,,

    1401h.r

    13 S t a l j , t c r y0 Relitemenl r:l T h i r o l ' ' ' r t y0emp.cyee p!Im lA J sicll payIo me e m p l o y e s s a e IU nurnoer 'D ;:,mlo W"egG, ups. e c. "'!ale mcorne UJ.g!... " , " ". ." , " . ? . .~~,? ..~~.g." ". . ~.Q.~~...?l ." .116Local wages.lips etc. 19Local i n r ome lax 211Loca!ilyn a m e

    2011HOUSE OF REP -MEMBERS SERVICES139A CANNON HOUSE OFFICE ELDWASHINGTON DC 20515 10 O .p en d G n\ c ar e b~n~lil; 11 Nahqualili~dpions 12. S e e rihSlfUCllanS lor 00" 1~ 16500,e E m p l oy " . s n a rn . .. a d dr es s n n d ZI P c o d eCHRISTOPHER S. MURPHYU.S. HOUSE OF REPRESENTATIVESWASHINGTON DC 20515

    b Employ"rid.nlilicalionnumberIE!I~)

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    Cop\, B-To Be FlIed With Employee's FEDERAL Tal: Return Th i!; . m !orm nh on rs b ein g fu rn ish ed 1 0 tile- In te rn a l R e VE n UE S !i lw :em .1 2 H C l_ H i l S , O: J QU

    12b 1120,